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Organization
MINDFUL THERAPY LLC
Active
Organization
MINDFUL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LECSY TANIA HERNANDEZ (CEO /EXECUTIVE DIRECTOR)
(786) 344-8757
Entity
Organization
Contact information
Practice address
770 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL 33134-2069
(786) 344-8757
(786) 221-4447
Mailing address
770 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL 33134-2069
(786) 344-8757
(786) 221-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH15891
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
09/26/2023
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